This report was generated on 2021-04-13 from the Adult Congenital Heart Disease Clinic Planning Tool
The Patient Dataset had the following filters applied:
After Filtering, these are some basic demographics of the patient data:
| Patients (n) | Lost to F/up (%) | Pts < 1 hr drive (%) | |
|---|---|---|---|
| All | 2649 | 47.34 | 81.58 |
| Simple CHD | 1279 | 67.63 | 84.99 |
| Moderate CHD | 900 | 32.44 | 78.22 |
| Complex CHD | 470 | 20.64 | 78.72 |
Â
Figure 1: Patient level demographics; A distribution of patient age, B time since patients last clinic visit, C distribution of patient sex, D the number of diagnoses per patient and E number of clinic visits per patient.
Â
Figure 2: Frequency of each Congential Heart Disease diagnosis appearing in the database
Areas are the Statistical Area 2 (SA2) geographical boundaries, defined by the Australian Bureau of Statistics, below is a basic summary of the area level data before any new ACHD clinic locations have been selected:
| Areas (n) | Areas < 1hr (n) | Areas < 1hr (%) | Avg Drive Time (hr) | |
|---|---|---|---|---|
| All | 712 | 443 | 62.22 | 1.27 |
| Greater Sydney | 312 | 272 | 87.18 | 0.46 |
| Rest of NSW | 264 | 48 | 18.18 | 2.68 |
| ACT | 131 | 123 | 93.89 | 0.26 |
Â
Â
Â
Â
Â
Figure 3: Distribution of the driving time from each SA2 area to the nearest ACHD clinic, for all of NSW,
the Greater Sydney Region, the Rest of NSW and the Australia Capital Territory
The map below shows the number of ACHD patients in each area. Driving times are calculated from the centre of each area.
Â
Figure 4: Map of New South Wales with a Choloropeth showing the number of ACHD patients in each area. Area Boundaries at at the SA2 level
Â
## Current ACHD Clinics in NSW
There are currently 6 Clinic locatios for Adult Congenital Heart Disease Services in NSW. Please note that not all clinic locations are available in the Hospital Travel Times dataset, in these cases, the closest available hospital has been used instead. The table below outlines the clinic matches and the distance between them.
| Current ACHD Clinics | Closest HTT Clinics | Distance between (kms) |
|---|---|---|
| Orange Central West Cardiology | Orange Day Surgery Centre | 1.1 |
| Nowra Shoalhaven Cardiology | Shoalhaven Hospital | 1.2 |
| Canberra More Than Medicine | Canberra Imaging Group Angiography/Interventional Suite | 8 |
| Port Macquarie Port Macquarie Cardiology | Port Macquarie Hospital | 0.5 |
| Royal Prince Alfred Hospital | Royal Prince Alfred Hospital | 0 |
| Westmead Private Hospital | Westmead Private Hospital | 0 |
Â
| Current ACHD Clinics | Patient within 1hr (n) | Lost to F/up within 1hr (n) |
|---|---|---|
| Canberra Imaging Group Angiography/Interventional Suite | 107 | 27 |
| John Hunter Hospital | 75 | 38 |
| Orange Day Surgery Centre | 45 | 25 |
| Port Macquarie Hospital | 25 | 9 |
| Royal Prince Alfred Hospital | 1855 | 917 |
| Westmead Private Hospital | 1868 | 927 |
| Total | 3975 | 1943 |
Â
The map below details the driving time from each SA2 area in NSW to the nearest ACHD Clinic. Driving times are calculated from the centre of each area.
Â
Figure 5: Map of New South Wales with a Choloropeth showing the driving time in hours from each area to the nearest ACHD clinic. Area Boundaries at at the SA2 level, map markers show ACHD clinic locations.
Â
The following clinics were selected as potentials for new locations in NSW
| New ACHD Clinics | Patient within 1hr (n) | Lost to F/up within 1hr (n) |
|---|---|---|
| Tamworth Hospital | 8 | <5 |
| Wagga Wagga Hospital | 12 | <5 |
| Dubbo Hospital | 36 | 19 |
| Total | 56 | 26 |
The map below details the driving time from each SA2 area in NSW to the nearest ACHD Clinic. Driving times are calculated from the centre of each area.
Â
Figure 6: Map of New South Wales with a Choloropeth showing the driving time in hours from each area to the nearest ACHD clinic, with new clinics added. Area Boundaries at at the SA2 level, map markers show ACHD clinic locations, green markers are the current clinics, orange markers are the newly selected clinics.
Â
| Patients within 1hr (n) | Patients within 1hr (%) | Lost to F/up within 1hr (n) | Lost to F/up within 1hr (%) | Average Drive to ACHD Clinic (hrs) | Longest Drive to ACHD Clinic (hrs) | |
|---|---|---|---|---|---|---|
| Current Clincs Locations | 2161 | 81.58 | 1032 | 82.30 | 1.27 | 10.87 |
| New Clinics Locations | 2217 | 83.69 | 1058 | 84.37 | 1.03 | 8.93 |
| Difference | 56 | 2.11 | 26 | 2.07 | -0.24 | -1.94 |
Â
Â
Â
Â
Â
Â
Â
Â
Â